A case report of vasa previa incidentally discovered

Abstract

Vasa previa is a rare but clinically important obstetrical complication that can be associated with a low-lying placenta or placenta previa. We aim to present one case of vasa previa diagnosed during the placenta examination after the caesarean indicated for triple uterus scar. A 26-year-old female was referred to our hospital at 30 weeks of gestation to provide a scheduled caesarean. Trans-abdominal ultrasound was performed; the placenta was positioned in the posterior side of the fundus. Fetal growth was found to be appropriate for gestational age. A healthy male infant weighing was successfully delivered via cesarean section at 38 weeks of gestation. This operation helped to prevent complications due to acute fetal bleeding. The identification and exclusion of vasa previa using trans-vaginal ultrasound are essential to ensure appropriate and timely treatment.

Vasa Previa: A Case Report from Tiom General Medical Hospital Lanny Jaya Regency, Papua-Indonesia

“…This bleeding occurs in the second or third trimester. (1),(4), (5) In this case, the mother noticed she was bleeding from the birth canal four hours before coming to the hospital. However, this does not show symptoms of vasa previa because the mother comes to the hospital with a full-term pregnancy of 39 weeks.…”

Variations in reported outcomes in studies on vasa previa: a systematic review

“…- Obstetrics Systematic Review Bohiltea 13 2 Datta 14 1 Iwahashi 15 1 Norvilaite 16 1 Van Steenis 17 1 Zhang 18 1 Hasegawa 19 21 Hasegawa 20 12 Breborowicz 21 1 Habek 22 1 Hosseinzadeh 23 1 Keunen 24 1 Saghir 25 1 Siminel 26 1 Rebarber 27 31 Javid 28 11 (qualitative research study) Kapoor 29 2 Zhang 30 1 Bronsteen 31 60 Golic 32 18 Gibson 33 1 Johnston 34 1 Neuhausser 35 1 Prince 36 1 Zahumensky 37 1 Hasegawa 38 10 Carnide 39 1 Garretto 40 1 Robinson 41 Clinical decision analysis Kanda 42 10 Hasegawa 43 3 Kikuchi 44 1 Komatsu 45 1 Kuwata 46 1 Markham 47 1 Pirtea 48 1 Cipriano 49 Cost-utility analysis Year First author Included pregnancies (n) Hertzberg 89 2 Nomiyama 90 2 Sauerbrei 91 2 Chen 92 1 Nwagbara 93 1 Clerici 94 1 Daly-Jones 95 1 Devesa 96 1 Fleming 97 1 Schellpfeffer…”